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Skilled nursing facility · CMS certification number 676341

CAPROCK NURSING & REHABILITATION

BORGER, Texas · Medicare and Medicaid · 120 certified beds in Care Compare

Download CAPROCK NURSING & REHABILITATION’s record (CSV, each figure with its worksheet, line and column)

In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $10,145.00 · Payment denials: 0. The most recent penalty on file: October 18, 2024, Fine, $10,145. Every penalty on file ↓

CAPROCK NURSING & REHABILITATION: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

  • Its latest cost report on file is for fiscal year 2024, covering October 1, 2023 to September 30, 2024 (365 days), and CMS processed it on October 30, 2025.
  • Net patient revenue rose from $5.9M in fiscal year 2023 to $6.1M in fiscal year 2024.
  • Its result from service to patients: −$59K (2022), −$152K (2023), $184K (2024).
  • Its cost reports on file run from fiscal year 2013 to fiscal year 2024.
  • Since its cost report for fiscal year 2024 was filed on October 30, 2025, 10 changes are listed on this record: 9 deficiencies and an inspection.
  • Its net patient revenue of $6.1M ranks 374th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
  • 2 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.

CAPROCK NURSING & REHABILITATION: Medicare cost reports

Cost reports on form CMS-2540-10, fiscal years 2013 to 2024
Form CMS-2540-102024 · report 14417612023 · report 14015162022 · report 13438722021 · report 13293532020 · report 13002842019 · report 12663662018 · report 12389022017 · report 12072192016 · report 11692352015 · report 11373392014 · report 11066372013 · report 1111421
Period beganOctober 1, 2023October 1, 2022June 1, 2022January 1, 2021January 1, 2020January 1, 2019January 1, 2018January 1, 2017January 1, 2016January 1, 2015January 1, 2014May 29, 2013
Period endedSeptember 30, 2024September 30, 2023September 30, 2022December 31, 2021December 31, 2020December 31, 2019December 31, 2018December 31, 2017December 31, 2016December 31, 2015December 31, 2014December 31, 2013
Days, where not a full year——121————————216
Report statusreopenedsettledsettledsettledsettledsettledsettledsettledsettledsettledsettledsettled
Processed by CMSOctober 30, 2025December 23, 2024March 6, 2023August 9, 2022September 16, 2021September 9, 2020July 30, 2019August 21, 2018July 17, 2017July 25, 2016August 4, 2015October 15, 2015
Total patient revenue$6,779,518$6,698,275$2,034,363$6,114,791$6,968,212$7,522,787$7,442,203$7,984,074$8,000,379$7,761,387$6,716,245$3,538,571
Contractual allowances and discounts$653,045$834,094$126,130$502,947$998,555$1,179,035$1,312,882$1,307,813$1,367,119$1,342,777$1,436,477$598,137
Net patient revenue$6,126,473$5,864,181$1,908,233$5,611,844$5,969,657$6,343,752$6,129,321$6,676,261$6,633,260$6,418,610$5,279,768$2,940,434
Total operating expenses$5,942,187$6,016,403$1,967,329$5,695,042$5,933,706$6,023,670$5,940,015$6,191,055$6,274,606$6,006,397$5,540,208$3,660,443
Net income from service to patients$184,286−$152,222−$59,096−$83,198$35,951$320,082$189,306$485,206$358,654$412,213−$260,440−$720,009
Total other income$383,952$863,923$200,117$507,414$727,609$5,304$607$15,437$9,659$3,802$1,840$8,361
Net income after other income$568,238$711,701$141,021$424,216$763,560$325,386$189,913$500,643$368,313$416,015−$258,600−$711,648
Net income$568,238$711,701$141,021$424,216$763,560$325,386$189,913$500,643$368,313$416,015−$258,600−$711,648
Total facility beds, all components120120120120120120120120120120120102
Bed days available, all components43,920———————————
Medicare (Title XVIII) patient days1,799———————————
Medicaid (Title XIX) patient days25,412———————————
Other-payer patient days9,820———————————
Total patient days, all components37,03125,2487,78823,26224,18126,55625,98627,27227,69526,96223,49310,927
Medicare discharges55———————————
Medicaid discharges104———————————
Other-payer discharges153———————————
Total discharges, all components31220560154184256255259256238184136
Average length of stay, Medicare, in days32.7139.7762.0738.0445.1436.6240.1341.6742.0941.2146.5655.67
Average length of stay, Medicaid, in days244.35395.95638.75564.65551.57350.36249.64381.31442.18373.3402.53123.96
Average length of stay, all patients, in days118.69123.16129.8151.05131.42103.73101.91105.3108.18113.29127.6880.35

Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013. Checked against the form’s own arithmetic: what that check shows.

CAPROCK NURSING & REHABILITATION: nurse staffing hours by quarter →

Who owns CAPROCK NURSING & REHABILITATION, as filed with CMS

Care Compare

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (organization), 100%%, since 06/01/2022
  • ADP OF THE SNF: BLAKE, GARY (individual), NOT APPLICABLE, since 06/01/2022; BORGER I ENTERPRISES LLC (organization), NOT APPLICABLE, since 06/01/2022; RANKIN, RON (individual), NOT APPLICABLE, since 04/11/2025; SCHMIDT, STEVEN (individual), NOT APPLICABLE, since 04/11/2025
  • CORPORATE DIRECTOR: HUGGINS, LINDA (individual), NOT APPLICABLE, since 06/01/2022; WILLIG, ZACHARY (individual), NOT APPLICABLE, since 01/01/2025
  • CORPORATE OFFICER: STRATTON, CHARLES (individual), NOT APPLICABLE, since 05/01/2005
  • MANAGING CONTROL - GOVERNING BODY: FREGIA, MILTON (individual), NOT APPLICABLE, since 05/07/2022; GARDNER, SHANNON (individual), NOT APPLICABLE, since 08/22/2022; GARDZINA, MARGARET (individual), NOT APPLICABLE, since 02/26/2024; HENRY, PAUL (individual), NOT APPLICABLE, since 05/09/2009; STRATTON, CHARLES (individual), NOT APPLICABLE, since 05/01/2005
  • OPERATIONAL/MANAGERIAL CONTROL: BLAKE, GARY (individual), NOT APPLICABLE, since 06/01/2022; BLAKE, MALISA (individual), NOT APPLICABLE, since 06/01/2022; BORGER I ENTERPRISES LLC (organization), NOT APPLICABLE, since 06/01/2022

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (enrollment ID O20220726003616).

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (organization), 100.00%, since 06/01/2022
  • ADP OF THE SNF: BORGER I ENTERPRISES LLC (organization), since 06/01/2022; GARY R BLAKE (individual), since 06/01/2022; RON K RANKIN (individual), since 04/11/2025; STEVEN M SCHMIDT (individual), since 04/11/2025
  • CORPORATE DIRECTOR: LINDA F HUGGINS (individual), 0.00%, since 06/01/2022; ZACHARY WILLIG (individual), 0.00%, since 01/01/2025
  • CORPORATE OFFICER: CHARLES BRUCE STRATTON (individual), 0.00%, since 05/01/2005
  • MANAGING CONTROL - GOVERNING BODY: CHARLES BRUCE STRATTON (individual), since 05/01/2005; MARGARET GARDZINA (individual), since 02/26/2024; MILTON FREGIA (individual), since 05/07/2022; PAUL HENRY (individual), since 05/09/2009; SHANNON GARDNER (individual), since 08/22/2022
  • OPERATIONAL/MANAGERIAL CONTROL: BORGER I ENTERPRISES LLC (organization), 100.00%, since 06/01/2022; GARY R BLAKE (individual), 50.00%, since 06/01/2022; MALISA A BLAKE (individual), since 06/01/2022

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company, real estate investment trust and holding company: No: LIBERTY COUNTY HOSPITAL DISTRICT NO 1; BORGER I ENTERPRISES LLC; BORGER I ENTERPRISES LLC.

Private equity company, real estate investment trust and holding company: Paused by CMS: GARY R BLAKE; RON K RANKIN; STEVEN M SCHMIDT; LINDA F HUGGINS; ZACHARY WILLIG; CHARLES BRUCE STRATTON; CHARLES BRUCE STRATTON; MARGARET GARDZINA; MILTON FREGIA; PAUL HENRY; SHANNON GARDNER; GARY R BLAKE; MALISA A BLAKE.

Changes in ownership

  • June 1, 2025, enrollment ownership file; no longer listed: HONOR X ENTERPRISES, LLC (OTHER); LINDA F HUGGINS (W-2 MANAGING EMPLOYEE); first listed: ZACHARY WILLIG (CORPORATE DIRECTOR), associated since January 1, 2025; STEVEN M SCHMIDT (ADP OF THE SNF), associated since April 11, 2025; MARGARET GARDZINA (MANAGING CONTROL - GOVERNING BODY), associated since February 26, 2024; MILTON FREGIA (MANAGING CONTROL - GOVERNING BODY), associated since May 7, 2022; PAUL HENRY (MANAGING CONTROL - GOVERNING BODY), associated since May 9, 2009; RON K RANKIN (ADP OF THE SNF), associated since April 11, 2025; LINDA F HUGGINS (CORPORATE DIRECTOR), associated since June 1, 2022; CHARLES BRUCE STRATTON (MANAGING CONTROL - GOVERNING BODY), associated since May 1, 2005; SHANNON GARDNER (MANAGING CONTROL - GOVERNING BODY), associated since August 22, 2022; BORGER I ENTERPRISES LLC (ADP OF THE SNF), associated since June 1, 2022; GARY R BLAKE (ADP OF THE SNF), associated since June 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv

Recent changes on this record

Inspections of CAPROCK NURSING & REHABILITATION

  • Cycle 1: health July 16, 2026 (11 deficiencies), fire safety July 16, 2026 (1)
  • Cycle 2: health May 21, 2025 (10 deficiencies), fire safety May 21, 2025 (0)
  • Cycle 3: health March 26, 2024 (10 deficiencies), fire safety March 26, 2024 (0)
  • Cycle 3: health January 31, 2023 (7 deficiencies), fire safety January 31, 2023 (0)

Deficiencies cited at CAPROCK NURSING & REHABILITATION

36 deficiencies on file, by tag, newest citation first

every one from a health inspection; 9 cited from a complaint, marked below. Letter after a date: scope and severity grade.

  • F 0559, resident rights: July 16, 2026 (D, Deficient, Provider has date of correction, corrected July 19, 2026).
  • F 0578, resident rights: July 16, 2026 (D, Deficient, Provider has date of correction, corrected July 19, 2026).
  • F 0641, resident assessment and care planning: July 16, 2026 (D, Deficient, Provider has date of correction, corrected July 19, 2026); May 21, 2025 (E, Deficient, Provider has date of correction, corrected May 22, 2025); March 26, 2024 (D, Deficient, Provider has date of correction, corrected May 6, 2024).
  • F 0656, resident assessment and care planning: July 16, 2026 (D, Deficient, Provider has date of correction, corrected July 19, 2026); January 31, 2023 (D, Deficient, Provider has date of correction, corrected February 23, 2023).
  • F 0695, quality of life and care: July 16, 2026 (D, Deficient, Provider has date of correction, corrected July 19, 2026); May 21, 2025 (D, Deficient, Provider has date of correction, corrected May 22, 2025); March 26, 2024 (D, Deficient, Provider has date of correction, corrected May 6, 2024); January 31, 2023 (D, Deficient, Provider has date of correction, corrected February 23, 2023).
  • F 0803, nutrition and dietary: July 16, 2026 (D, Deficient, Provider has date of correction, corrected July 19, 2026); May 21, 2025 (E, Deficient, Provider has date of correction, corrected May 22, 2025).
  • F 0812, nutrition and dietary: July 16, 2026 (E, Deficient, Provider has date of correction, corrected July 19, 2026); January 31, 2023 (F, Deficient, Provider has date of correction, corrected February 23, 2023).
  • F 0842, resident assessment and care planning: July 16, 2026 (D, Deficient, Provider has date of correction, corrected July 19, 2026); October 26, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected November 30, 2023).
  • F 0880, infection control: July 16, 2026 (E, Deficient, Provider has date of correction, corrected July 19, 2026); January 31, 2023 (D, Deficient, Provider has date of correction, corrected February 23, 2023).
  • F 0760, pharmacy service: January 20, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected January 21, 2026).
  • F 0657, resident assessment and care planning: November 24, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected November 25, 2025); January 31, 2023 (D, Deficient, Provider has date of correction, corrected February 23, 2023).
  • F 0550, resident rights: August 6, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected August 30, 2025).
  • F 0644, resident assessment and care planning: May 21, 2025 (D, Deficient, Provider has date of correction, corrected May 22, 2025).
  • F 0725, nursing and physician services: May 21, 2025 (E, Deficient, Provider has date of correction, corrected May 22, 2025).
  • F 0602, freedom from abuse, neglect, and exploitation: April 25, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected April 27, 2025).
  • F 0600, freedom from abuse, neglect, and exploitation: October 18, 2024 (G, from a complaint, Past Non-Compliance, corrected September 26, 2024).
  • F 0607, freedom from abuse, neglect, and exploitation: October 18, 2024 (G, from a complaint, Past Non-Compliance, corrected September 26, 2024).
  • F 0609, freedom from abuse, neglect, and exploitation: October 18, 2024 (G, from a complaint, Past Non-Compliance, corrected September 26, 2024).
  • F 0585, resident rights: July 24, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected September 6, 2024).
  • F 0557, resident rights: March 26, 2024 (D, Deficient, Provider has date of correction, corrected May 6, 2024).
  • F 0558, resident rights: March 26, 2024 (E, Deficient, Provider has date of correction, corrected May 6, 2024).
  • F 0580, resident rights: March 26, 2024 (D, Deficient, Provider has date of correction, corrected May 6, 2024).
  • F 0679, quality of life and care: March 26, 2024 (E, Deficient, Provider has date of correction, corrected May 6, 2024).
  • F 0761, pharmacy service: March 26, 2024 (D, Deficient, Provider has date of correction, corrected May 6, 2024).
  • F 0908, environmental: March 26, 2024 (F, Deficient, Provider has date of correction, corrected May 6, 2024).

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
October 18, 2024Fine$10,145113305

From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.

CAPROCK NURSING & REHABILITATION in Care Compare

  • Ownership Type: For profit - Corporation
  • Legal Business Name: LIBERTY COUNTY HOSPITAL DISTRICT NO 1
  • Date First Approved to Provide Medicare and Medicaid Services: 2013-05-29
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: N
  • Urban: N
  • County/Parish: Hutchinson
  • Telephone Number: 8062749600
  • Chain Name: CREATIVE SOLUTIONS IN HEALTHCARE
  • Chain ID: 169
  • Provider Changed Ownership in Last 12 Months: N
  • With a Resident and Family Council: Resident
  • Automatic Sprinkler Systems in All Required Areas: Yes
  • Average Number of Residents per Day: 75.0
  • Overall Rating: 3
  • Health Inspection Rating: 3
  • QM Rating: 5
  • Long-Stay QM Rating: 4
  • Short-Stay QM Rating: 5

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

Other nursing facilities in BORGER and Texas

Report a figure on CAPROCK NURSING & REHABILITATION’s record that differs from its CMS file, quoting 676341.